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General NPI Number Information
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NPI Number | 1407976319
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Entity Type | Organization
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Legal Business Name | BRADLEY CHIROPRACTIC & PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2003 ROBIN LN
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City | WAUSAU
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State | WI
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Zip | 54401-7158
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Country | US
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Telephone | 715-845-3775
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Fax | 715-848-9015
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Provider Business Mailing Address
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Address Line | 2003 ROBIN LN
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City | WAUSAU
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State | WI
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Zip | 54401-7158
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Country | US
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Telephone | 715-845-3775
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Fax | 715-848-9015
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Authorized Official
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Title or Position | STAFF
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Name | MRS. NANCY C BRITANYAK
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Credential |
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Telephone | 715-845-3775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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